| NPI | 1639135577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME130041) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-12-07 |